Exit this survey Mother's Day Contest 1. Default Section Question Title * 1. What is your age? Under 18 18-25 26-35 36-45 46 and over Question Title * 2. Please fill in all fields below. We will contact you via email if you win. You will be added to our mailing list to receive exclusive promotions - and we don't spam!*Privacy Policy: We respect your privacy and information will not be shared with anyone outside JUARA Skincare. You can unsubscribe from the mailing list at anytime as well. Name: * City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Country: Email Address: * Phone Number: Question Title * 3. What is your mom's contact information so we can let her know if you win? Email is preferred, but if she has none, at what number can we reach her? We respect privacy, and this information will NOT be shared with anyone. Name: City/Town: State/Province: ZIP/Postal Code: Country: Email Address: Phone Number: Question Title * 4. What is your skin type? (Also check sensitive if applicable) Dry Oily Sensitive Combination I don't know Question Title * 5. How did you hear about this contest? (enter website) Question Title * 6. TELL US WHY YOU HAVE THE BEST MOM EVER!If we select your answer, you AND your mother will receive a $50 Gift Certificate from JUARA Skincare, and we will publish your entry on our blogsite to show the world how much you love your mother! Question Title * 7. FOR BODY PRODUCTS - How important are the factors below in purchasing a product from a brand you’ve never tried? (Scale of 1-5, Least important – Very important) 1- Least Important 2- Not So Important 3- Some What Important 4- Important 5- Very Important 100% Natural 100% Natural 1- Least Important 100% Natural 2- Not So Important 100% Natural 3- Some What Important 100% Natural 4- Important 100% Natural 5- Very Important Blog Review Blog Review 1- Least Important Blog Review 2- Not So Important Blog Review 3- Some What Important Blog Review 4- Important Blog Review 5- Very Important Discounts/Special Promotions Discounts/Special Promotions 1- Least Important Discounts/Special Promotions 2- Not So Important Discounts/Special Promotions 3- Some What Important Discounts/Special Promotions 4- Important Discounts/Special Promotions 5- Very Important Gift with Purchase Gift with Purchase 1- Least Important Gift with Purchase 2- Not So Important Gift with Purchase 3- Some What Important Gift with Purchase 4- Important Gift with Purchase 5- Very Important Loyalty Reward Points Loyalty Reward Points 1- Least Important Loyalty Reward Points 2- Not So Important Loyalty Reward Points 3- Some What Important Loyalty Reward Points 4- Important Loyalty Reward Points 5- Very Important Organic Organic 1- Least Important Organic 2- Not So Important Organic 3- Some What Important Organic 4- Important Organic 5- Very Important Personal Recommendation of someone you know Personal Recommendation of someone you know 1- Least Important Personal Recommendation of someone you know 2- Not So Important Personal Recommendation of someone you know 3- Some What Important Personal Recommendation of someone you know 4- Important Personal Recommendation of someone you know 5- Very Important Price Price 1- Least Important Price 2- Not So Important Price 3- Some What Important Price 4- Important Price 5- Very Important Seeing Celebrities who use it Seeing Celebrities who use it 1- Least Important Seeing Celebrities who use it 2- Not So Important Seeing Celebrities who use it 3- Some What Important Seeing Celebrities who use it 4- Important Seeing Celebrities who use it 5- Very Important Seeing it in Magazines Seeing it in Magazines 1- Least Important Seeing it in Magazines 2- Not So Important Seeing it in Magazines 3- Some What Important Seeing it in Magazines 4- Important Seeing it in Magazines 5- Very Important Testimonials Testimonials 1- Least Important Testimonials 2- Not So Important Testimonials 3- Some What Important Testimonials 4- Important Testimonials 5- Very Important Question Title * 8. FOR FACE PRODUCTS - How important are the factors below in purchasing a product from a brand you’ve never tried? (Scale of 1-5, Least important – Very important) 1- Least Important 2- Not So Important 3- Some What Important 4- Important 5- Very Important Personal Recommendation of someone you know Personal Recommendation of someone you know 1- Least Important Personal Recommendation of someone you know 2- Not So Important Personal Recommendation of someone you know 3- Some What Important Personal Recommendation of someone you know 4- Important Personal Recommendation of someone you know 5- Very Important Discounts/Special Promotions Discounts/Special Promotions 1- Least Important Discounts/Special Promotions 2- Not So Important Discounts/Special Promotions 3- Some What Important Discounts/Special Promotions 4- Important Discounts/Special Promotions 5- Very Important Blog Review Blog Review 1- Least Important Blog Review 2- Not So Important Blog Review 3- Some What Important Blog Review 4- Important Blog Review 5- Very Important Gift with Purchase Gift with Purchase 1- Least Important Gift with Purchase 2- Not So Important Gift with Purchase 3- Some What Important Gift with Purchase 4- Important Gift with Purchase 5- Very Important Price Price 1- Least Important Price 2- Not So Important Price 3- Some What Important Price 4- Important Price 5- Very Important Testimonials Testimonials 1- Least Important Testimonials 2- Not So Important Testimonials 3- Some What Important Testimonials 4- Important Testimonials 5- Very Important Seeing it in Magazines Seeing it in Magazines 1- Least Important Seeing it in Magazines 2- Not So Important Seeing it in Magazines 3- Some What Important Seeing it in Magazines 4- Important Seeing it in Magazines 5- Very Important Seeing Celebrities who use it Seeing Celebrities who use it 1- Least Important Seeing Celebrities who use it 2- Not So Important Seeing Celebrities who use it 3- Some What Important Seeing Celebrities who use it 4- Important Seeing Celebrities who use it 5- Very Important 100% Natural 100% Natural 1- Least Important 100% Natural 2- Not So Important 100% Natural 3- Some What Important 100% Natural 4- Important 100% Natural 5- Very Important Loyalty rewards points Loyalty rewards points 1- Least Important Loyalty rewards points 2- Not So Important Loyalty rewards points 3- Some What Important Loyalty rewards points 4- Important Loyalty rewards points 5- Very Important Question Title * 9. Where do you normally purchase your skincare? Rank in order of most often to least often. Never Least Often Sometimes Most Often Retail stores Retail stores Never Retail stores Least Often Retail stores Sometimes Retail stores Most Often Online Online Never Online Least Often Online Sometimes Online Most Often Catalog Catalog Never Catalog Least Often Catalog Sometimes Catalog Most Often (If online, which site(s)? If catalog, which catalog(s)?) Done